Despite advances in reperfusion therapy, acute myocardial infarction (AMI) continues to be a leading cause of morbidity and mortality. While the management protocols are well established, delays in patient recognition and hospital presentation remain significant barriers to optimal outcomes.
Clinical Presentation: Think Beyond Classic Chest Pain Although severe retrosternal chest pain remains the hallmark symptom, clinicians should maintain a high index of suspicion, especially in atypical presentations. Typical symptoms include: Severe chest pain, pressure, tightness, or heaviness lasting >20 minutes Pain radiating to the left arm, both arms, shoulder, neck, jaw, or back Shortness of breath Diaphoresis Nausea or vomiting Dizziness, lightheadedness, or syncope Atypical Presentations: The Diagnostic Challenge Women, elderly patients, and individuals with diabetes frequently present…
